Individual
DAVID NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2018 PULLIAM ST, SAN ANGELO, TX 76905
(325) 659-7290
(325) 659-7291
Mailing address
730 EAST EUREKA STREET, WEATHERFORD, TX 76086-6546
(817) 596-7000
(817) 596-7008
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
N0321
TX
208M00000X
Hospitalist Physician
N0321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203778902
—
TX
01
—
N0321
LICENSE
TX
Enumeration date
02/21/2007
Last updated
10/11/2018
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